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06-103600City"of Federal Way Zommunity Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 .01 Mechanical Permit #: 06 -103600 -00 -ME Project Name: NEUBECKER Project Address: 33618 26TH CT SW Project Description: Remove/Replace Gas Water Heater Inspection Request Line: (253) 835-3050 Parcel Number: 255700 0830 Owner Applicant Contractor MASATO ISHISE FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY DEBORAH NEUBECKER 12601 132ND AVE NE FASTWWH948BC 1/3/2008 33618 26TH CT SW KIRKLAND WA 98034 12601 132ND AVE NE FEDERAL WAY WA 98023 KIRKLAND WA 98034 Additional Permit Information Mechanical Valuation............................................931 Over the Counter Permit? ...................................... Yes Water Heater I hereby the occ Owner or agent: Plumbing Fixtures Fl,^;q�FD e: CITY OF Federal Way THIS CARD IS TO REMAIN ON-SITE r Community Development Inspection Record IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -103600 -00 -ME Owner: MASATOISHISE Address: 33618 26TH CT SW FEDERAL WAY, WA 98023-7708 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date B Date 0- q CK1756 1 Federal Way RECEIVED BY P,(E RM ITRECEIVED - - - - - `- - - - CO"UNI �'DEMMOM IEVELOPMENTDEPART SF MF COOEL PL DE EN FP 333258EJWWAVENUE ,W-9•POBOX 9718 ppLICATI 12oos FEDERAL WAY, WA- 98063-9718 , 253.8352607• FAX 253.835-261' I I 2 7 2O wtum.dlwRedemlwou.rom v L. �.+ J. T.he following is required information —an incomplete a pti alttiiY OF FEDERAL W . Please print legibly in ink) or type. PM SITE ADDRESS 33618 26 CT SW, FEDERAL WAY, WA 98023 SUITE/UNIT # ASSESSOR'S TAX/PARCEL # 2557000830 _ — —.— LOT SIZE(sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) µteadi aeparota pagelQ logfhy leges! desoiptlonj . •• • • TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT. DESCRIPTION (Provide detailed description of work included or this permit only Remove/ReDlace Gas Water Heater PROJECT NAME (Name of Business or Owner Last Name) NEUBECKER. DEBBIE PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT NAM9 PRIMARY PHONE NEUBECKER. DEBBIE ((2531835-5777 MAILING ADDRESS CITY, STATE, ZIP 33618 26 CT SW FEDERAL WAY, WA 98023 COMPANY NAME APPLICANT NAME OFFICE PHONE FAST WATER HEATER COMPAN cr.-Y, '„`T. ATE, ZIP ((425814-3124 MAILING ADDRESS 'CITY, STATE, ZIP CELL PHONE 12601 132ND AVE NE KIRKLAND. WA 98034 ( _ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -8 7- - —0 _- .-0 0 4 7 0 0 = B L • / (425 ) 814-9516 CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appneatioa( ., EXPIRATION DATE. W11124811C _ /01/0312008 COMPANY NAME APPLICANT NAME OFFICE PHONE ' MAILING ADDRESS cr.-Y, '„`T. ATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑::Tenant o Agent ❑ Other (Describe) ( _ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. $ . FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE O CARPORT ❑ R7aeHllq PROPWRD TOTAL NUMBER OF FLOORS ""NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of f idure to be installed or relocated as part of this'proj'ect. Do not inchlde existing fUtures'to-remain- Value o•remain_ Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS BBQS FANS HOODS (comm m4 BOILERS FIREPLACE INSERTS RANGES COMPRESSORS FURNACES X — GAS WATER HEATERS .DUCTS GAS PIPE OUTLETS BATHTUBS (or Twb/Shower Cmnbo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS pRwom sink■) SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS WATER CLOSETS (roiieq DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I cert(fy under penalty of perjury that the iriformation furnished by me -is true and correct to the beat of►rty knowledge, and Furth¢ , that I am authorised by the owner of the above premises to perform the work for which the permit application is .inade. I further agree to hold harmless the City of Pederal.Way as to any claim ({nctuding costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by dny person, including the undersigned, and filen against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE �� -- ''---ter -� %' Permit Mir DATE 7/19/06 (SIgnaturej Friel RELATIONSHIP TO PROJECT o Owner ❑ Agent A Contractor n Architect 0 Other